1. Home
  2. Directory
  3. Missouri
  4. Lees Summit
  5. Family Medicine
  6. NPI Profile

MR. RANDY J TARVIN MD
NPI 1952396905
Family Medicine in Lees Summit, MO

Active since September 15, 2005
1741 NE DOUGLAS ST, SUITE 200, LEES SUMMIT, MO 64086(816) 246-0200(816) 246-0220 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randy J Tarvin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDY J TARVIN MD (NPI 1952396905) is an individual family medicine provider in Lees Summit, Missouri, licensed in Missouri (MD 111602) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1952396905
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. RANDY J TARVINCredential: MD
Location Address1741 NE DOUGLAS ST, SUITE 200Lees Summit, MO 64086-4703
Mailing Address8550 Marshall Dr, Suite 220Lenexa, KS 66214-1505 · (816) 246-0200
Phone(816) 246-0200
Fax(816) 246-0220
Sole ProprietorNo
Enumeration DateSeptember 15, 2005
Last NPPES UpdateAugust 18, 2009
✔ NPI 1952396905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · MD 111602✔ Licensed in KS · 0422753
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1741 NE DOUGLAS ST, Lees Summit, MO 64086
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND20982MO
Medicare PINP00355783MO
Medicare PINK679690MO

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURGICAL SERVICES, P.A.
Specialist
1741 NE DOUGLAS ST, SUITE 102
LEES SUMMIT, MO 64086
Jackson County (816) 554-9955
VANESSA BEACHNER DPT
Physical Therapist
1741 NE DOUGLAS ST, STE 202
LEES SUMMIT, MO 64086
Jackson County (816) 246-3246
JEREMY SKEENS DPT
Physical Therapist
1741 NE DOUGLAS ST, STE 202
LEES SUMMIT, MO 64086
Jackson County (816) 246-3246
ADVANCED PT LLC
Physical Therapist
1741 NE DOUGLAS ST, STE 202
LEES SUMMIT, MO 64086
Jackson County (816) 246-3426
SERC REHABILITATION PARTNERS LLC
Clinic/Center (Physical Therapy)
1741 NE DOUGLAS ST, STE 202
LEES SUMMIT, MO 64086
Jackson County (816) 246-2672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Tarvin's NPI number?

The NPI number for Randy Tarvin is 1952396905. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Randy Tarvin located?

Randy Tarvin practices at 1741 NE Douglas St Suite 200, Lees Summit, MO 64086. The listed phone number is (816) 246-0200.

What is Randy Tarvin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Randy Tarvin was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.